Culture Family Community
. The nurse is caring for a Mexican American mother and newborn. The mother wants to place an ombligero around the mother and newborn’s abdomen. Which is the nurse’s next best action?
A. Explain that when the newborn cries, the umbilicus will not bulge.
B. Demonstrate the usage of an abdominal binder to prevent hernias.
C. Teach the mother how to remove and replace the ombligero to clean the umbilicus.
D. Provide research dispelling the myth of the ombligero.
C. Teach the mother how to remove and replace the ombligero to clean the umbilicus.
The nurse is caring for a hospitalized client’s religious needs after surgery. Which is the nurse’s next best action?
A. Search for religious artifacts in the room so care matches client’s beliefs.
B. Make a referral to the hospital clergy to address the client’s religious needs.
C. Set mutual care goals with the client that complement the client’s religious beliefs.
D. Provide care based on the religion the client reported upon admission.
C. Set mutual care goals with the client that complement the client’s religious beliefs.
The need for culturally competent health care organizations is essential for which reason?
A. To meet government goals of improving the health of the community
B. To provide health care to all members of the community
C. To ensure all clients are treated the same
D. To determine quickly which organization will be able to better assist each client
B. To provide health care to all members of the community
Which statement exhibits an understanding of the meaning of culturally congruent nursing care?
A. “Care that is culturally congruent is a client right of all ethnically diverse individuals.”
B. “I have a nursing responsibility to always provide culturally congruent nursing care.”
C. “Providing culturally congruent nursing care offers care the client has confidence in.”
D. “Outcomes are so much better when the care is delivered in a culturally congruent manner.”
C. “Providing culturally congruent nursing care offers care the client has confidence in.”
Health disparities are a great concern to those who provide health care services. The Health Resources and Services Administration has identified certain populations that are at greater risk for disparities. Which client(s) has been identified as at risk? Select all that apply.
A. A White student attending a large university
B. An individual who lives in a remote location
C. The fourth infant of a mother in her 30s
D. An older adult man who just moved into his new assisted living apartment
E. A man who works for a large corporation and frequently travels to other countries
B. An individual who lives in a remote location
C. The fourth infant of a mother in her 30s
D. An older adult man who just moved into his new assisted living apartment
The nurse is caring for Black clients in the neighborhood. When providing culturally competent tertiary cardiac health care, which principles should the nurse employ? Select all that apply.
A. Schedule a planning meeting with the religious and community leaders.
B. Teach the clients to join a local gym and exercise regularly to lose weight.
C. Use a centrally located church on public transportation to provide health care.
D. Provide pamphlets from the government on heart healthy foods low in sodium.
E. Encourage clients to stick with lifestyle changes that will produce better health.
A. Schedule a planning meeting with the religious and community leaders.
C. Use a centrally located church on public transportation to provide health care.
E. Encourage clients to stick with lifestyle changes that will produce better health.
. The nurse is caring for a dying client that practices atheism. When providing spiritual care, which principles should the nurse employ? Select all that apply.
A. Determine what or who provides strength or hope.
B. Incorporate the client’s choice for spiritual support.
C. Explain the need for clergy to provide guidance.
D. Provide only physical and psychosocial support.
E. Share one’s beliefs with the client for comfort.
A. Determine what or who provides strength or hope.
B. Incorporate the client’s choice for spiritual support.
. Roizner identifies a checklist which can help evaluate health care services for their cultural competence. Which are included in the checklist? Select all that apply.
A. Accessibility
B. Appropriateness
C. Accountability
D. Availability
E. Accreditability
A. Accessibility
B. Appropriateness
D. Availability
. To provide better care, the interprofessional health care team relies on its members to help provide the best care to meet the needs of the client. Which member would be the most important to the client?
A. Physician
B. Family
C. Nurse
D. Spiritual or traditional healer
B. Family
The nurse is performing basic assessments of a variety of clients in the clinic. The nurse is aware that a blood glucose screening is most appropriate for which ethnic client?
A. The Black male
B. The White female
C. The Muslim female
D. The Hispanic male
D. The Hispanic male
The nurse is planning a community-based prenatal and postpartum program in a traditional Mexican American culture. Which is the nurse’s next best action?
A. Teach alternatives to the myths accepted as the traditional Mexican American care for prenatal and postpartum care.
B. Provide necessary acceptable modifications along with maternal care based upon Mexican American traditions.
C. Use the Mexican American traditions for maternal care instead of standard practices based upon best evidence.
D. Employ prenatal and postpartum care using the best evidence based upon the majority US population.
B. Provide necessary acceptable modifications along with maternal care based upon Mexican American traditions.
The nurse is planning to prepare the body of a client who died. Which is the nurse’s next best action?
A. Follow institution’s guidelines for postmortem care and procurement.
B. Discover if autopsy is necessary before removing any tubes or lines.
C. Determine from the client’s family-specific burial rituals and practices.
D. Prepare the body for final viewing by the family before going to the morgue.
C. Determine from the client’s family-specific burial rituals and practices.
There are a variety of definitions which exist to explain the organizational culture; however, there are some similar factors noted between them. Which are considered to be true about organizational cultures? Select all that apply.
A. Once an organization culture is in place, changes are resisted by the members.
B. Each subculture can effect a change in the general culture of the organization over time.
C. The culture results from an interaction between the mission statement and leadership.
D. The culture is constantly changing depending on the cultural influence found in the surrounding community.
E. The culture consists of shared beliefs and assumptions, which can lead to specific behaviors.
A. Once an organization culture is in place, changes are resisted by the members.
C. The culture results from an interaction between the mission statement and leadership.
E. The culture consists of shared beliefs and assumptions, which can lead to specific behaviors.
The emergency department in a large metropolitan city assists many clients each day from various cultures. Which would best present a culture challenge in developing an appropriate nursing care plan?
A. A 34-year-old Asian man who is in town for temporary work
B. A 15-year-old Black female athlete from the local high school with a sprained ankle
C. A 25-year-old Hispanic mother with an infant who just moved from the neighboring state
D. An 85-year-old Italian man who was brought in from the local long-term facility after a fall
A. A 34-year-old Asian man who is in town for temporary work
The nurse is assessing a 68-year-old Black client’s response to pain medication. The client had a left hip arthroplasty 2 weeks ago. Which assessment question best reflects appropriate cultural awareness in evaluating this client’s response to therapy?
A. “What are you doing that is working best to relieve your pain from your surgery?”
B. “How often do you take the pain medication your physician prescribed?”
C. “How many pain pills do you have left from your prescription?”
D. “Do you feel the pain medication has been helpful?”
A. “What are you doing that is working best to relieve your pain from your surgery?”
____________ is a principle that requires nurses to act in such a way that no deliberate harm comes to their patients.
A. Veracity
B. Autonomy
C. Fidelity
D. Nonmaleficence
D. Nonmaleficence
Respect for persons is the foundation of ______.
A. Confidentiality
B. Self-organization
C. Biomedical ethics
D. Autonomy
A. Confidentiality
As organizations work toward becoming more culturally competent, it is important to do more than just identify disparities. Which are important to work on to deliver culturally competent health care? Select all that apply.
A. Ensuring each individual follows the organization’s mission statement
B. Protecting human rights
C. Reducing the vulnerability of the community
D. Developing an educational program based on cultural differences for the community
E. Reducing risks that exist in the community
B. Protecting human rights
C. Reducing the vulnerability of the community
E. Reducing risks that exist in the community
Dr. Leininger is credited with developing ethnonursing research in the field of transcultural nursing, which has been used by many others to study relevant topics in nursing. Which is the specific research method used?
A. Quantitative
B. Qualitative
C. Metadata
D. Quantitative and qualitative
B. Qualitative
Pain is a common reason that sends clients to seek health care. It is also one of the more challenging to treat and manage. Research has shown that which factor(s) is often associated with incidences of severe pain? Select all that apply.
A. Lower education levels
B. Physiological distress
C. Chronic disease
D. Private insurance
E. Medicaid insurance
A. Lower education levels
C. Chronic disease
E. Medicaid insurance
An inner-city state-funded hospital was slated for closure at the end of the year. Despite the closure, Denita was determined to provide high-quality care until the doors were locked for good. While Denita was well intentioned, the reality of decreasing supplies, administrators focused on consolidating patients and resources with other hospitals, not to mention the overall stress of potential job losses made it very difficult to provide the level of care required. When Denita voiced concerns to her supervisor, she was told, “Don’t tell me; tell the governor.” And she did. Denita called the governor’s office to explain her concern about not fulfilling her moral and legal obligation as a professional nurse. Which term specifically addresses Denita’s concern?
A. Ethics
B. Beneficence
C. Justice
D. Respect
B. Beneficence
________________________ illuminates how we ought to live and practice nursing when we relate to others who may be different than ourselves.
A. Transcultural caring competency
B. Transcultural caring communication
C. Transcultural caring context
D. Transcultural caring dynamics
A. Transcultural caring competency
What question would the nurse ask a patient of a different cultural background when attempting to enhance the patient history and physical examination?
A. Would you like me to contact a family member?
B. Do you understand what has happened to you?
C. What do you think may help or benefit you?
D. Do you prefer a private room?
C. What do you think may help or benefit you?
A 27-year-old new client, who has hearing impairment, has presented to the clinic for a routine visit. Speaking mainly with sign language, the client explains that he is changing physicians because a staff member at the last clinic was constantly trying to talk him into getting cochlear implants, which he does not want. The nurse should be aware that which may be happening?
A. The client is afraid of the surgery and just needs more information and gentle encouragement.
B. The client does not have the financial resources to pay for the surgery and needs assistance to find resources.
C. The client is being controlled by other members of the deaf culture and afraid.
D. The client does not see himself as disabled but simply a member of a certain subcultural group.
D. The client does not see himself as disabled but simply a member of a certain subcultural group.
. Research has confirmed that some diseases are more common among certain ethnic groups than others. Which ethnic group(s) is recognized for carrying the sickle cell trait? Select all that apply.
A. Caribbean
B. Middle Eastern
C. Mediterranean
D. East Asian
E. Nepalese
A. Caribbean
B. Middle Eastern
C. Mediterranean